| |
60 Messenger St Plainville MA 02762-2258 | |
(508) 695-9933 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 60 Messenger St, Plainville, Massachusetts |
Authorized Official Name and Position | Francis R. Dietz (CEO/PRESIDENT) |
Authorized Official Contact | 4017292130 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1908 Pawtucket RI 02862-1908 Ph: (401) 729-2836 | 60 Messenger St Plainville MA 02762-2258 Ph: (508) 695-9933 |
NPI Number | 1194830323 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 11/30/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194830323 | NPI | - | NPPES |
9726284 | Medicaid | MA | |
SH42203 | Medicaid | RI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Massachusetts) | Primary |
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